Organization Name: | OXYGEN MEDICAL SUPPLY INC |
NPI Number: | 1134211857 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUSSELL KUTSENKO (PRESIDENT) |
Mailing Address: | 2500 E Hallandale Beach Blvd Suite # 501-a Hallandale Beach |
State: | FL US |
Postal Code: | 330094834 |
Phone Number: | 9544550233 |
Fax Number: | 9544550212 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 1312838 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |